C-EFM is the designation for an obstetrical nurse, nurse midwife, or obstetrician who has earned credentialing in electronic fetal monitoring from Perinatal Quality Foundation.

News Alert


The Fetal Monitoring Credentialing program was developed based on EFM principles defined by national consensus, and leading US experts have been involved in its development. The FMC tool measures both knowledge and judgment through the use of Script Concordance Testing (SCT), providing novel insight into clinicians' contextual reasoning in dynamic labor and delivery patient management situations. We are happy to report that successful completion of the FMC examination has been accepted by the American Board of Obstetrics and Gynecology (ABOG) for Maintenance of Certification (MOC) Part IV: Improvement in Medical Practice. Stay tuned for further details in our next newsletter!


Demonstrate knowledge and judgment

of fetal heart rate monitoring principles

defined by national consensus

Who are we? The Perinatal Quality Foundation (perinatalquality.org) is an independent, non-profit foundation whose mission is to improve the quality of obstetrical services in the United States.

What do we provide? The Perinatal Quality Foundation provides a Fetal Monitoring Credentialing (FMC) examination, developed by experts in the field that will be available to physicians, nurse practitioners, midwives, nurses, and other perinatal clinicians who are involved in the management of labor and delivery patients.

How are we distinct? In addition to using recommended NICHD nomenclature and offering traditional knowledge-based questions, the FMC also assesses provider judgment by using the script concordance test, an evidence-based tool that measures mental processes in uncertain clinical situations.

Why are we doing this? The Perinatal Quality Foundation FMC tool is intended to be adjunct to other educational programs in that FMC provides a mechanism to measure provider proficiency, to determine if learning has occurred, and to effect change.

Our ClientsOur Clients
  • Albany Family Medicine Residency Program - Albany, NY
  • Atlantic Health - Morristown, NJ
  • Barnes-Jewish Hospital St. Louis, MO
  • Battleboro Memorial - Battleboro, VT
  • Beaumont Hospital Royal Oak - Royal Oak, MI
  • Bridgeport Hospital - Bridgeport, CT
  • Community Medical Center - Fresno, CA
  • Cornell University Hospital - New York, NY
  • Dartmouth-Hitchcock - Lebanon, NH
  • Eastern Virginia Medical System - Norfolk, VA
  • Greater Regional Medical Center Creston, IA
  • Jersey Shore University Medical Center Neptune, NJ
  • Healthcare For Women Arlington, VA
  • High-Risk Pregnancy Center Las Vegas, NV
  • Huntsville Hospital - Huntsville, AL
  • Lovelace - Albuquerque, NM
  • Mama and Baby OB/GYN - San Jose, CA
  • Maury Regional Medical Center Columbia, TN
  • Mayo Regional Hospital Dover - Foxcroft, ME
  • Miller's Children's and Women's Hospital - Long Beach, CA
  • Monadnock Community Hospital - Peterborough, NH
  • Mountain View Hospital Las Vegas, NV
  • Nanticoke Memorial Hospital - Seaford, DE
  • New York Presbyterian-Columbia - New York, NY
  • Norwalk Hospital - Norwalk, CT
  • Novant Health - Charlotte, NC
  • PeriGen, Inc. Princeton, NJ
  • Professionals For Women's Health Columbus, OH
  • Saint Francis Hospital Wilmington, DE
  • Spectrum Health - Grand Rapids, MI
  • St. Joseph’s Hospital, Orange - Orange, CA
  • St. Luke's - Boise, ID
  • The University of Iowa Hospitals and Clinics Iowa City, IA
  • TriHealth - Cincinnati, OH
  • University of California-Irvine Orange, CA
  • U.S. Nursing Corporation - Greenwood Village, CO
  • University of Colorado Hospital OBGYN - Aurora, CO
  • University of Michigan Health System, OB Anesthesia - Ann Arbor, MI
  • UPMC - Pittsburgh, PA
  • Upstate Medical University - Syracuse, NY
  • University of Colorado Hospital-Nurse Midwives - Aurora CO
  • University of Rochester Medical Center - Rochester, NY
  • UT Health - Houston, TX
  • Vanderbilt - Nashville, TN
  • Womens Health Group Inc Tallmadge, OH
  • Woman to Woman Ob/Gyn PC Crystal Lake, IL
  • Yampa Valley Medical Center - Steamboat, CO